Digital health: How technology and social media is changing our practise
“Digital Health: How technology andsocial media is changing our practise”By Dr Kartik Modha
Dr Kartik Modha MRCGP MBBS (Hons) BSc (Hons)• Graduated from Guy’s, King’s and St Thomas’ School of Medicine in 2005(intercalated Physiology BSc)• Specialist rotations (FY1-ST2): King’s College Hospital London, MedwayMaritime Kent, Royal Free Hospital London.• ST3 at James Wigg Practice, Camden PCT, London. MRCGP + CCT in 2010.• NHS Sessional GP, Locum GP, OOH (triage/PCC/visiting), UCC and industrymedia.• Portfolio GP and ‘Digital Health Entrepreneur’• Founder and Chair of Tiko’s GP Group – 1700+ GP members• Chairman and CEO at myHealthSpecialist.com
The Internet: Enough collateral connections to be self sustaining.
A smartphone improves your onlineconnectivityFacebook(30million+ UK users)Twitter(10million+ UK users)Linkedin(10million+ UK users)
“Listen to many, speak to a few.”- William Shakespeare
• Professional GP network based in Facebook’s social media platform• Inspired by Steven Johnson You Tube video “Where good ideascome from” --> “chance favours the connected mind”• Started by me researching how doctors use online networks formyHealthSpecialist• Organic growth• Started in June 2011 with 20 GPs, now 1700+ GP members• Focus on sharing information and holding professional networkingevents• Aim to stimulate and support health innovation
TGG Core Team (Anatomical right to left)Finalists for “Innovators of the Year” General Practice Awards 2012:Malcolm Davies, Me, Tabassum Ahmed, Tom Nolan, Hamed Khan, Amit Vasistha
More professional conversations =Increased clinical connectivity
Member Comments“We can discuss cases, present photos etc muchmore easily and without fear than we couldotherwise. Its even easier than face to faceconvos- as you literally type at the start of aconsultation and get a reply at the end”-Dr HK
“Discussions about difficult scenarios are solvedquite easily with multiple brain input”-Dr PJMember Comments
“Its been really helpful in my ST3 year so far.Our VTS sessions are good as a safe place to askstupid questions, but they only happen everyother week. This is a faster and v usefuladdition/alternative.”-Dr NCMember Comments
Social Media Guidelines“The standards expected of doctors do not changebecause they are communicating through social mediarather than face to face or through other traditionalmedia. However, using social media creates newcircumstances in which the established principlesapply.”
Social Media GuidelinesPrivacy: Social Media sites cannot guarantee confidentiality Patients, employers, colleagues may be able to access yourpersonal information Photos may have location info embedded in them Once published online, a post may be impossible to remove
Social Media GuidelinesBenefits: Engaging people in public health and policy discussions Establishing national and international networks Facilitating patients’ access to information about health andservices
Social Media GuidelinesRisks: Doctor-Patient relationship blurred. Need to maintain aprofessional boundary. Maintain patient confidentiality at all times. “The sum ofpublished information online could be enough to identify apatient or someone close to them” Respect colleagues at all times. Defamation laws apply.
Social Media GuidelinesAnonymity / Declarations: If identifying yourself as a doctor you should use your realname but not something you must do. Posts by doctorsreflects on the whole profession. Anonymous posts can be traced back to their origin Declare any conflicts of interest or commercial interests
- Created by GPs for GPs and patients- Peer recommended private specialist network- Free for GPs and patients- Funded by recommended specialist subscriptions- Allows GPs to share recommendations for specialists within apractice / group, borough and nationally- Allows patients to search for private specialists based on GPrecommendations- Aim to improve patient care and save GPs time inconsultations
GPs & patients need better info”The OFT considers that there is a shortage of accessible,standardised and comparable information provided to patients, GPsand PMI providers in relation to the quality of PH facilities and ofconsultants”“The OFT patient interviews and the OFT GP survey both indicatethat patients place a great amount of trust in their GPs opinions andrecommendations”Report on the market study and final decision to make a market investigationreference (April 2012)
Tips for getting started1. Have a clear idea of what the problem is2. Limit the scope for your minimally viable product (MVP)3. Perform a stakeholder analysis4. Test your business case with a survey5. Check for any legal obstacles6. Draw designs on paper first. Check with yourstakeholders that it meets their requirements.7. Produce a specification document.8. Get a quote from a reputable development company9. Understand the financial and time commitment/risk
10. Have a clear initial route to market11. Raise money (Budget for twice the time and cost!)12. Begin development. Keep your scope limited.13. Rigorous testing (IE6 is a nightmare)14. Beta test with trusted people /places. Listen to theirfeedback and adjust where necessary.15. Launch to live using your organic online networks16. Learn about SEO. Backlinks + Video = Good17. Be patient and willing to learn and adjust as you goalong.18. Be supportive of each other.Tips for getting started
Great introduction to website usability. Need to also consider increasing mobileinternet use.
Questions / Discussion“Alone we can do so little;together we can do so much”- Helen Keller